Skip to main content
SpringerLink
Log in

Primary internal fixation and soft-tissue reconstruction in the treatment for an open Lisfranc fracture-dislocation

  • Case Report
  • Published:
MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

The importance of anatomical reduction for improved outcome has been recognised in the management of Lisfranc injuries. Operative fixation is indicated in case of dislocation or unstable ligamentous injury, because discongruity of the Lisfranc joint can lead to deleterious functional outcome. Screws are the recommended method of fixation of the medial en middle column, and K-wires are used for stabilisation of the unstable lateral column. Primary arthrodesis can provide advantages in pure ligamentous injury. In the management of complex open Lisfranc fractures, external fixation with K-wires can be used, but often results in a high percentage of arc deformities and functional limitations. In recent years, there is a progressive change from external to internal fixation in primary stabilisation of open fractures. This case report describes the treatment for a grade III open Lisfranc fracture-dislocation by use of primary internal fixation and soft-tissue reconstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Teng AL, Pinzur MS, Lomasney L, Mahoney L, Havey R (2002) Functional outcome following anatomic restoration of tarsal-metatarsal fracture dislocation. Foot Ankle Int 23(10):922–926

    PubMed  Google Scholar 

  2. Rammelt S, Schneiders W, Schikore H, Holch M, Heineck J, Zwipp H (2008) Primary open reduction and fixation compared with delayed corrective arthrodesis in the treatment of tarsometatarsale (Lisfranc) fracture dislocation. J Bone Joint Surg Br 90:1499–1506

    Article  PubMed  CAS  Google Scholar 

  3. Tan YH, Chin TW, Mitra AK, Tan SK (1995) Tarsometatarsal (Lisfranc’s) injuries—results of open reduction and internal fixation. Ann Acad Med Singapore 24:816–819

    PubMed  CAS  Google Scholar 

  4. Perez Blanco R, Rodriguez Merchan C, Canosa Sevillano R, Munuera Martinez L (1988) Tarsometatarsal fractures and dislocations. J Orthop Trauma 2:188–194

    Article  PubMed  CAS  Google Scholar 

  5. Lee CA, Birkedal JP, Dickerson EA, Vieta PA, Webbe LX, Teasdall RD (2004) Stabilization of Lisfranc joint injuries: a biomechanical study. Foot Ankle Int 25:365–370

    PubMed  Google Scholar 

  6. Stavlas P, Roberts CS, Xypnitos FN, Giannoudis PV (2010) The role of reduction and internal fixation of Lisfranc fracture-dislocations: a systematic review of the literature. Intern Orthop 34:1083–1091

    Article  Google Scholar 

  7. Ly TV, Coetzee JC (2006) Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation A prospective, randomized study. J Bone Joint Surg Am 88:514–520

    Article  PubMed  Google Scholar 

  8. Hennig JA, Jones CB, Sietsema DL, Bohay DR, Anderson JG (2009) Open reduction internal fixation versus primary arthrodesis for lisfranc injuries: a prospective randomized study. Foot Ankle Int 30(10):913–922

    Article  Google Scholar 

  9. Prakash C, Ravindra P, Mandeep SD, Shivender SG (2006) Management of complex open fracture injuries of the midfoot with external fixation. J Foot Ankle Surg 45(5):308–315

    Article  Google Scholar 

  10. Gopal S, Majumder S, Batchelor AGB, Knight SL, De Boer P, Smith RM (2000) Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. J Bone Joint Surg Br 82-B:959–966

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Maastricht University Medical Centre, Maastricht, The Netherlands

    Ilknur Sanli, Joris Hermus & Martijn Poeze

Authors
  1. Ilknur Sanli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joris Hermus
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Martijn Poeze
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ilknur Sanli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sanli, I., Hermus, J. & Poeze, M. Primary internal fixation and soft-tissue reconstruction in the treatment for an open Lisfranc fracture-dislocation. Musculoskelet Surg 96, 59–62 (2012). https://doi.org/10.1007/s12306-011-0150-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12306-011-0150-7

Keywords

Search

Navigation